Provider First Line Business Practice Location Address:
EMER DEPT WIDDEN HOSP
Provider Second Line Business Practice Location Address:
103 GARLAND STREET
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-381-7150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007